首页|尿液检验在糖尿病患者中的应用价值分析

尿液检验在糖尿病患者中的应用价值分析

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目的:分析尿液检验在糖尿病患者中的应用价值.方法:研究选取晋江市医院晋南分院2020年1月-2022年12月临床收治疑似糖尿病患者482例,所有患者均接受尿常规检查,分析对比尿常规检测方式对阳性患者的检出率、检测的敏感度、特异度、准确率以及尿液检验指标阳性的检出率.结果:在对482例疑似糖尿病患者的诊断中,尿液检验检出阳性患者267例,其中真阳性患者239例,尿液检验阳性检出率为85.66%(239/279),尿液检验的敏感度为85.66%、特异度为86.21%、准确率为85.89%.尿液检验与金标准kappa值为0.713;金标准尿糖例数为279(100.00%),糖尿病阳性患者尿液检验中,白细胞、尿糖以及尿蛋白等指标阳性率均明显高于糖尿病阴性,组间差异统计学意义成立(P<0.05).结论:尿液检验是临床中用于诊断糖尿病患者的常见诊断方式,尿液检验阳性检出率高,检查的综合应用价值高,在对疑似糖尿病患者的诊断中具有较高的应用价值,建议临床在对糖尿病患者的诊断中推广使用.
Objective:To analyze the application value of urine testing in patients with diabetes.Methods:The study selected 482 cases of suspected diabetes admitted to Jinnan Branch of Jinjiang Hospital from January 2020 to December 2022,all patients received routine urine examination,analyzed and compared the detection rate of positive patients,the sensitivity,specificity,accuracy and the detection rate of positive urine test index.Results:In the diagnosis of 482 suspected diabetes patients,267 patients were positive by urine test,among which 239 were true positive,the positive detection rate was 85.66%(239/279),the sensitivity of urine test was 85.66%,the specificity was 86.21%,and the accuracy was 85.89%.The urine test and gold standard kappa value were 0.713;the number of urine sugar cases was 279(100.00%).,the positive rates of leukocytes,urine sugar and urine protein were significantly higher than that of diabetes mellitus,and the difference between groups was significant(P<0.05).Conclusion:Urine test is a common diagnostic method used in clinical diagnosis of diabetes patients.The positive detection rate of urine test is high,and the comprehensive application value of the test is high.It has a high application value in the diagnosis of suspected diabetes patients.It is suggested to promote clinical use in the diagnosis of diabetic patients.

Urine testdiabetes mellitusclinical diagnosis

陈华南、江丽丹、陈良泉

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晋江市医院晋南分院·福建泉州 362200

尿液检验 糖尿病 临床诊断

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(3)
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